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All Journal International Journal of Integrated Health Sciences Jurnal Penelitian Kesehatan Suara Forikes PREPOTIF : Jurnal Kesehatan Masyarakat Indonesian Journal of Health Sciences Research and Development (IJHSRD) International Journal of Health, Economics, and Social Sciences (IJHESS) ADMA: Jurnal Pengabdian dan Pemberdayaan Masyarakat Media Publikasi Promosi Kesehatan Indonesia (MPPKI) Jurnal Ilmiah Kesehatan Masyarakat Journal of Health and Nutrition Research Hasanuddin Journal of Public Health Indonesian Research Journal on Education Innovative: Journal Of Social Science Research Jurnal Kesehatan Metro Sai Wawai Inovasi Kesehatan Global
Nur Azizah Azzahra
Departemen Epidemiologi, Program Studi Kesehatan Masyarakat, Fakultas Kesehatan Masyarakat, Universitas Tadulako, Palu
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Analisis Kepatuhan Pekerja dalam Penggunaan Alat Pelindung Diri (APD) Cleaning Service Amilah Eka Putri; Nurul Pratiwi Army; Rifka Haristantia; Nur Azizah Azzahra; Andi Ferina Herbourina Bonita
SEHATMAS: Jurnal Ilmiah Kesehatan Masyarakat Vol. 4 No. 4 (2025): Oktober 2025
Publisher : Yayasan Literasi Sains Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55123/sehatmas.v4i4.5884

Abstract

Cleaning service workers have a high risk of work accidents and exposure to hazardous materials, so the use of Personal Protective Equipment (PPE) is crucial. However, compliance with the use of PPE is still a challenge, especially in the informal sector and outsourcing companies that do not have an adequate K3 system. Objective: This study aims to analyze the level of compliance with the use of PPE in cleaning service workers and identify the factors that affect it. Methods: This study used a qualitative approach with a case study design. Data was collected through semi-structured interviews and direct observation of 15 cleaning service workers working at an outsourcing company in the office sector in North Kolaka Regency in January – March 2025. The data analysis technique is carried out thematically through data reduction, data presentation and conclusion drawn. Results: Results show that the majority of workers understand the importance of PPE and show a fairly high level of compliance. The main driving factors are awareness of personal safety and supervisory supervision, while inhibiting factors include PPE inconvenience, limited tools and lack of supervision. The most commonly used types of PPE are masks, gloves and safety shoes. Conclusion: Adherence to PPE use is influenced by individual, organizational and environmental factors. The company's active role is needed in providing appropriate PPE, supervising and forming a safety-oriented work culture. This research contributes to strengthening K3 policies in the informal sector.
Correlation between Health Service Quality, TB Patient Behavior, and Treatment Compliance Syahadat, Dilla Srikandi; Buchair, Nur Hikmah; Sari, Nur Fadhilah; Azzahra, Nur Azizah
International Journal of Integrated Health Sciences Vol 13, No 2 (2025)
Publisher : Faculty of Medicine Universitas Padjadjaran

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15850/ijihs.v13n2.4265

Abstract

Background: Tuberculosis (TB) remains a major public health problem in Indonesia, where treatment adherence is essential for preventing drug resistance, treatment failure, and continued transmission. The quality of health services and patient behavior are key determinants influencing adherence, particularly at the primary healthcare level.Objective: To analyze the effect of health services and tuberculosis (TB) patients’ behavior on adherence to TB treatment in Palu City.Methods: A cross-sectional study was conducted among 100 TB patients attending 14 community health centers (Puskesmas) in Palu City, Indonesia, selected through cluster random sampling. Data were collected from August to September 2024 using structured questionnaires. Univariate and bivariate analyses were performed, with statistical testing conducted using the Spearman rank correlation at a 95% confidence level (α = 0.05).Results: Most respondents were from Talise Health Center (12%), aged 21–29 years (24%), self-employed (50%), and had completed high school education (45%). Overall, 84% were treatment-compliant, and 97% demonstrated a positive attitude. All respondents with a less favorable attitude were non-compliant, while 86.6% of those with a good attitude were compliant. Regarding health services, 96% reported good services, and 86.5% of them were compliant, compared to 25% among those with poor services. Significant associations were found between attitude (ρ = 0.000, r = 0.417), health service quality (ρ = 0.000, r = 0.455), and treatment adherence.Conclusion: There is a significant association between the quality of healthcare services,  patient attitudes, and adherence to TB treatment. Strengthening patient-centered services and ongoing counseling at Puskesmas are essential to sustain treatment success and reduce transmission.
Anemia Screening and Counseling for Female Students at SMAN 5 Tondo in 2025 Laba, Stefiani Bengan; Rau, Muhammad Jusman; Buchair, Nur Hikmah; Syahadat, Dilla Srikandi; Palinggi, Marselina; Azzahra, Nur Azizah; Sari, Nur Fadhilah; Ardayani, Adinda; Agustianingsih, Rizka
ADMA : Jurnal Pengabdian dan Pemberdayaan Masyarakat Vol. 6 No. 2 (2025): ADMA: Jurnal Pengabdian dan Pemberdayaan Mayarakat: In-Progress
Publisher : LPPM Universitas Bumigora

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30812/adma.v6i2.5737

Abstract

Penyakit tidak menular akan berdampak pada kemiskinan, terhambatnya pertumbuhan ekonomi dan beban pada sistem kesehatan pada negara berkembang dan negara miskin (CDC, 2023). Anemia merupakan salah satu permasalahan yang banyak dialami oleh masyarakat Indonesia, khususnya remaja. Anemia pada remaja dapat memberikan dampak yang signifikan, salah satunya adalah stunting. Dalam jangka pendek, remaja putri yang mengalami anemia dapat kekurangan konsentrasi dan juga lletih serta lesu. Tujuan dari pengabdian ini adalah adalah untuk melaksanakan skrining hemoglobin pada siswi SMAN5 Tondo. Kegiatan dilakukan menggunakan metode sosialisasi, skrining dan juga konseling. Hasil penelitian menunjukkan bahwa sebanyak 72,3% siswi tidak menderita anemia. Siswi yang menjadi responden pada saat screening sebagian besar berada pada usia 16 tahun 67%. Pengukuran sensitivitas menunjukkan sensitivitas sebesar 0% karena ada satu sel kosong yakni hasil pemeriksaan anemia dari dokter karena sebagian besar dari remaja putri belum pernah memeriksakan diri. Kegiatan screening anemia perlu dipertahankan dan dikembangkan guna mencegah kejadian anemia di masyarakat khususnya di kalangan remaja.
Pemetaan Kepadatan Penduduk, Status Vaksinasi dan Kejadian Gigitan Hewan Penular Rabies Buchair, Nur Hikmah; Syahadat, Dilla Srikandi; Laba, Stefiani Bengan; Palinggi, Marselina; Sari, Nur Fadhilah; Azzahra, Nur Azizah
Jurnal Penelitian Kesehatan SUARA FORIKES Vol 16, No 4 (2025): Oktober-Desember 2025
Publisher : FORIKES

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.33846/sf16419

Abstract

Rabies is a zoonotic disease that attacks the central nervous system and is almost always fatal. Spatial analysis is important to understand the distribution of rabies-transmitting animal bite cases and the factors that influence them. The purpose of this study was to determine the distribution of rabies-transmitting animal bite cases based on vaccination status and population density, as well as spatial distribution patterns. This research was an analytical study with an ecological approach, a population study of 79 respondents who received rabies-transmitting animal bite cases. Primary data were collected through field observations and questionnaires, while spatial analysis was conducted using GeoDa software with a spatially weighted regression method. The results showed that the animals that transmit rabies are dogs (80%), cats (19%), and monkeys (1%). The most cases occurred in Petobo Village (60.8%), and the rest in South Birobuli (39.2%). A total of 51.9% of cases had incomplete vaccination status. Spatial analysis showed that population density (p = 0.000) and vaccination status (p = 0.000) significantly influenced the incidence of rabies-transmitting animal bites. The spatial distribution pattern was shown to be clustered with a p-value of 0.002309. In conclusion, population density and vaccination status are important factors influencing the incidence of rabies-transmitting animal bites, with cases tending to be clustered.Keywords: rabies-transmitting animal bites; rabies; spatial analysis; population density; vaccine ABSTRAK Rabies adalah penyakit zoonosis yang menyerang sistem saraf pusat dan hampir selalu berakibat fatal. Analisis spasial menjadi penting untuk memahami pola penyebaran kasus gigitan hewan penular rabies dan faktor yang memengaruhinya. Tujuan penelitian ini adalah mengetahui distribusi kasus gigitan hewan penular rabies berdasarkan status vaksinasi dan kepadatan penduduk, serta pola sebaran spasial. Penelitian ini merupakan studi analitik dengan pendekatan ekologi, merupakan studi populasi terhadap 79 responden kasus gigitan hewan penular rabies. Data primer dikumpulkan melalui observasi lapangan dan kuesioner, sedangkan analisis spasial dilakukan menggunakan perangkat lunak GeoDa dengan metode spatially weighted regression. Hasil penelitian menunjukkan hewan penular rabies adalah anjing (80%), kucing (19%) dan kera (1%). Kasus terbanyak terjadi di Kelurahan Petobo (60,8%) dan sisanya di Birobuli Selatan (39,2%). Sebanyak 51,9% kasus memiliki status vaksinasi tidak lengkap. Analisis spasial menunjukkan kepadatan penduduk (p = 0,000) dan status vaksinasi (p = 0,000) berpengaruh secara signifikan terhadap kejadian gigitan hewan penular rabies. Pola distribusi spasial terbukti clustered dengan nilai p = 0,002309. Sebagai kesimpulannya, kepadatan penduduk dan status vaksinasi merupakan faktor penting yang memengaruhi kejadian gigitan hewan penular rabies, dengan distribusi kasus cenderung berkelompok.Kata kunci: gigitan hewan penular rabies; rabies; analisis spasial; kepadatan penduduk; vaksin
Evaluation of the Measles/MR Supplemental Immunization Program for Children Under Two Years in the Palu City Health Office Working Area Rau, Muhammad Jusman; Laba, Stefiani Bengan; Syahadat, Dilla Srikandi; Marselina, Marselina; Buchair, Nur Hikmah; Sari, Nur Fadhilah; Azzahra, Nur Azizah
Journal of Health and Nutrition Research Vol. 5 No. 1 (2026)
Publisher : Media Publikasi Cendekia Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.56303/jhnresearch.v5i1.879

Abstract

Measles and rubella (MR) remain significant public health concerns in Indonesia, with outbreaks linked to low immunization coverage. A notable measles outbreak in October 2023 underscored the urgency of achieving herd immunity through high vaccination rates. The Ministry of Health targets 100% coverage for supplemental MR immunization; however, in 2022 Central Sulawesi reached only 30.4%, and in 2024 Palu City recorded 57.8%, both far below the target. This study aimed to evaluate the implementation of the measles/MR supplemental immunization program in 14 CHCs under the Palu City Health Office. A descriptive, quantitative, evaluative approach was employed to identify the program's strengths and weaknesses, which were assessed across input, process, and output dimensions using questionnaires. Regarding input, 100% of the CHCs had immunization officers with relevant educational qualifications, and 93% had received immunization-specific training. The process showed high compliance with SOP documentation: 100% of CHCs recorded vaccine temperature, inflow/outflow, and calculated remaining stock at every issuance, while 93% maintained individual stock cards, documented VVM status, and recorded equipment such as needles, syringes, and cold chain devices by type and quantity. However, only 86% recorded immunization logistics in general logbooks. The output showed that 86% of CHCs failed to meet the 100% immunization coverage target. Overall, these findings highlight gaps in training, service delivery, and community awareness that must be addressed to improve coverage and prevent future outbreaks. The MR supplemental immunization program in Palu City should be strengthened by ensuring annual training for immunization officers, enforcing complete SOP documentation, including vaccine stock and logistics recording, and implementing targeted outreach to improve coverage in CHCs that failed to meet the 100% target.
BODY SHAMING SEBAGAI STRESOR: PENILAIAN STRESS DAN COPING PADA REMAJA PEREMPUAN DI PALU Khairunnisaa Khairunnisaa; Ummu Kamilah; Rendhar Putri Hilintang; Amilah Ekaputri; Rifka Haristantia; Sahrul Sahrul; Nur Azizah Azzahra
Hasanuddin Journal of Public Health Vol. 7 No. 1: FEBRUARY 2026
Publisher : Faculty of Public Health, Hasanuddin University, Makassar

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.30597/hjph.v7i1.48722

Abstract

Latar Belakang: Body shaming merupakan stresor sosial yang kerap dinormalisasi dalam relasi dekat dan berpotensi memicu distress serta coping berisiko pada remaja perempuan usia 18–24 perempuan. Tujuan: Penelitian ini mengeksplor body shaming sebagai stresor pada remaja perempuan di Kota Palu melalui proses primary–secondary appraisal, strategi coping, dan dampak psikologisnya. Metode: Penelitian kualitatif dengan desain studi kasus menggunakan kerangka Transactional Model of Stress and Coping. Informan berjumlah 17 remaja perempuan usia 18–24 tahun yang pernah mengalami body shaming, direkrut secara purposive dan snowball sampling. Data dikumpulkan melalui wawancara mendalam semi-terstruktur dan dianalisis dengan analisis tematik. Hasil: Body shaming dialami sebagai stresor relasional yang berulang, terutama dari teman sebaya dan keluarga. Pada primary appraisal, pengalaman awal dimaknai sebagai candaan namun berkembang menjadi ancaman terhadap harga diri ketika terjadi berulang. Secondary appraisal menunjukkan keterbatasan sumber daya coping, sehingga strategi yang digunakan didominasi emotion-focused coping, dengan sebagian informan melakukan problem-focused coping berupa kontrol tubuh pada spektrum adaptif hingga maladaptif. Dampak yang muncul meliputi distress berkelanjutan, ruminasi, gangguan tidur dan pola makan, serta penarikan sosial. Kesimpulan: Body shaming berfungsi sebagai stresor sosial persisten yang membentuk lintasan appraisal coping menuju luaran psikologis merugikan. Perlunya intervensi promotif-preventif melalui penguatan norma anti–body shaming serta dukungan sebaya dan konseling ramah remaja guna mendorong coping adaptif.
Auditory Neuropathy Spectrum Disorder (ANSD) Nur Azizah Azzahra; Indra Zachreini
Inovasi Kesehatan Global Vol. 3 No. 2 (2026): Mei : Inovasi Kesehatan Global
Publisher : Lembaga Pengembangan Kinerja Dosen

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.62383/ikg.v3i2.3035

Abstract

Patients with ANSD may have hearing thresholds that vary from normal to severe hearing loss, but they often have difficulty understanding speech, especially in noisy environments. This condition can be caused by various factors, including genetic mutations (such as in the OTOF gene), preterm birth, perinatal hypoxia, and hyperbilirubinemia. Some adult patients have been reported to develop ANSD following autoimmune disorders such as sensorimotor neuropathy or after chemotherapy with ototoxic agents such as cisplatin. Diagnosis of Auditory Neuropathy Spectrum Disorder (ANSD) begins with a comprehensive medical history to identify risk factors that play a role. A history of preterm birth, severe hyperbilirubinemia requiring exchange transfusion, perinatal hypoxia, ventilator use, and a family history of infection or genetic disorders are major risk factors. In addition, patients or parents often report delayed speech development, inability to understand speech (especially in noisy environments), or a discrepancy between previous hearing test results and the child’s behavioral response. The gold standard for diagnosing ANSD is a combination of: (1) positive OAE and/or CM, (2) absent or abnormal ABR, and (3) absent acoustic reflex. This diagnosis is established only if there is evidence that the cochlea is functioning normally but there is a disruption in auditory nerve transmission. Routine monitoring is conducted to assess hearing and language development and adjust devices and therapy methods according to the patient’s needs. Counseling and education for families are also crucial components to provide optimal support at home and improve the patient’s quality of life. A comprehensive multidisciplinary approach is essential to ensure effective management of ANSD and achieve the best possible outcomes.
Co-Authors Adhe Sofyan Anas Agustianingsih, Rizka Alchamdani Amilah Eka Putri Amilah Ekaputri Andalusia Sarigando Banilai, Puti Andi ferina Herbourina Bonita Ardayani, Adinda Bailai, Puti Andalusia Sarigando Diyana, Sutra Dwi Sutiningsih Ekaputri, Amilah Giyantolin, Giyantolin Indra Zachreini Kamilah, Ummu Khairunisaa Khairunnisa Khairunnisa Khairunnisaa Khairunnisaa Khairunnisa’, Rifdah Yuri Laba, Stefiani Bengan Marselina Marselina Mateus Sakundarno Adi, Mateus Sakundarno Miftahul Haerati Sulaiman Muh Jusman Rau Muhammad Ryman Napirah Nur Hikmah Buchair Nur Mila Sari Nurul Pratiwi Army Nurwijayanti Palinggi, Marselina Palinggi, Marselina Rendhar Putri Hilintang Rendhar Putri Hilintang Rifka Haristantia Rifka Haristantia Sahrul Sahrul Sahrul, Sahrul Sari, Nur Fadhilah Sari, Nur Fadhilah Siti Rahayu Stefiani Bengan Laba Sutaip Sutaip Syahadat, Dilla Srikandi Syahadat, Dilla Srikandi Toii, Indra Eka Wardana Ummu Kamilah Widyanti, Trisna Yusuf, Nurul Fuadi